Stratford Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CT718 Issued in CT

Legal business name

STRATFORD CHIROPRACTIC LLC

Practice address

2505 Main St
Stratford, CT 06615-5839

Phone

(203) 386-9100

Fax

(203) 375-3963

NPI assigned

May 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Pesale, DCNPI 1770607509

Title

Owner

Phone

(203) 556-3074

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Pesale, D.C.

  • Chiropractor
  • Stratford, CT
  • NPI 1770607509
  Medicare reassignment Care Compare group Authorized official
• Andrew J Pesale, DC

  • Chiropractor
  • Stratford, CT
  • NPI 1033716378
  Medicare reassignment Care Compare group NPD
• Jill Caruso

  • Chiropractor
  • Stratford, CT
  • NPI 1477356343
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1942477161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST",
            "address_2": "STATIONHOUSE SQUARE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-386-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-386-9100",
            "fax_number": "203-375-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-09-02",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PESALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-556-3074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "CT718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stratford Eyecare Associates, L.L.C.
• Stratford Family Dental PC
• Stratford Markets LLC (Shoprite Pharmacy)

• Chiropractor in Stratford, CT
• Providers in Stratford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.